List Obat Kronis Bpjs
List Obat Kronis Bpjs
List Obat Kronis Bpjs
Human
1 ACTRAPID HM Bpha Human insulin Insulin
Short vial 10 ml Short
Acting 144763 -
Human
2 ACTRAPID HM PENFILL Bpha Human Insulin
insulin Short 100 UI/mL, 3mL Short
Acting 80502 -
3 Adalat Oros Bayr 20 mg tab oros 20 mg
Nifedipin 335 -
4 Adalat Oros Bayr 30 mg tab oros 30 mg
Nifedipin 37 -
5 Akarbose 100 Dexa tab 100 mg Akarbose 779 -
6 Akarbose 50 Dexa tab 50 mg Akarbose 562 -
7 Allopurinol 100 Mers tab 100 mg Alopurinol 99 165 HJ - 66
8 Amlodipin 10 Temp tab 10 mg Amlodipin 93 154 otto - 61
9 Amlodipin 5 Temp tab 5 mg Amlodipin 70 128 otto - 58
Analog
Apidra Solostar Aven inj 100 UI/ml, pen Insulin
10
@ 3ml Rapid
Acting 87 87 -
Atrovent HFA Boeh 20 mcg/puff inh 200 Ipratropium
11
dosis Bromida 866 -
Avodart 0.5 Gski Dutasterid Kap lunak
12
0,5 mg Dutasteride 47 -
Kombinasi:
Salmeterol
123 Seretide Diskus 500 Glax 500 mcg/puff 50 mcg +
Flutikason
Propionate
500 mcg 127.617 -
Kombinasi:
Salmeterol
124 Seretide Inhaler 50 Glax 50 mcg/puff 25 mcg;
Flutikason
propionat
50 mcg 55 -
125 Seroquel XR 200 Asca tab 200 mg
Quetiapine 14.3 -
126 Seroquel XR 300 Asca tab 300 mg
Quetiapine 15.548 -
127 Seroquel XR 400 Asca tab 400 mg
Quetiapine 18.616 -
128 Simvastatin 20 Temp tab 20 mg
Simvastatin 205 462 quantum - 257
129 Simvastatin Yari 10 mg tab 10 mg quantum - 88
Simvastatin 110 198
Spiriva 10s plus handihaler Boeh kaps
130
18 mcg Tiotropium 167 -
131 Spiriva Refill 30s Boeh kaps 18 mcg
Tiotropium 15.1 -
Spironolakt
132 Spironolacton Dexa 25 mg tab 25 mg otto - 170
on 195 365
133 Symbicort 120 dosis Asca 160/4.5mcg Kombinasi:
inh
Budesonide
Formoterol 139.88 -